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Abdominal Emergencies Requiring a Multidisciplinary Approach

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Primary Management in General, Vascular and Thoracic Surgery

Abstract

Aortoenteric fistula is an emergent disease with high risk of mortality. An abnormal communication between the aorta and intestine occurs more frequently with the duodenum and usually is related to an abdominal aortic aneurysm or secondary to aortic surgery. A delay in diagnosis could be fatal for the patient. For the diagnosis, a CT scan is the first choice meanwhile esophagogastroduodenoscopy is performed in an emergency setting just in hemodynamically stable patients.

Mesenteric ischemia is a syndrome caused by inadequate blood flow through visceral vessels: it can be acute or chronic. In an acute setting it is considered an emergent disease that should be rapidly treated with open or endovascular approach to reduce the risk of bowel gangrene.

Both these pathologies require a multidisciplinary approach by vascular and general surgeons for vascular reconstruction and treatment of bowel defects; also anesthesiologists and intensivists must be prepared to resuscitate aggressively in the face of life-threatening exsanguination and postoperative management.

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Mazzari, A., Tomaiuolo, P.M.C., Giordano, A., Meniconi, R.L., Settembrini, A.M. (2022). Abdominal Emergencies Requiring a Multidisciplinary Approach. In: Bissacco, D., Settembrini, A.M., Mazzari, A. (eds) Primary Management in General, Vascular and Thoracic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-12563-8_16

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  • DOI: https://doi.org/10.1007/978-3-031-12563-8_16

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